Individual
BEAU SLAVIN KONIGSBERG
Active
Individual
BEAU SLAVIN KONIGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24538
NE
390200000X
Student in an Organized Health Care Education/Training Program
TEP4471
NE
Other
Enumeration date
05/07/2007
Last updated
10/05/2018
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